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Every state will have a Health Insurance Marketplace, but each state can choose how it will operate. States can create and run their own Marketplace, or have a Marketplace supported by the Department of Health and Human Services (HHS). States may also choose to partner with HHS to run some functions of their Marketplace. HHS already has granted conditional approval to some states. This means they are on track to have a Marketplace starting in October 2013. The links below take you to websites that describe that states Marketplace efforts. The Marketplaces themselves will not begin accepting enrollments until October 2013.